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Trends and disparities in non-communicable diseases in the Western Pacific region.

Nutrition and Health Promotion Center, Department of Public Health, Medical College, Qinghai University, People's Republic of China. Qinghai Provincial Key Laboratory of Prevention and Control of Glucolipid Metabolic Diseases with Traditional Chinese Medicine, No. 16 Kunlun Road, Xining 810008, People's Republic of China. Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing 100069, People's Republic of China. Beijing Municipal Key Laboratory of Clinical Epidemiology, No. 10 Xitoutiao, Youanmenwai, Beijing 100069, People's Republic of China. The First Affiliated Hospital of Xi'an Jiaotong University Public Health Institute, Global Health Institute, School of Public Health, International Obesity and Metabolic Disease Research Center, Xi'an Jiaotong University, Xi'an 710061, People's Republic of China. China Population and Development Research Center, No. 12 Dahuisi Road, Beijing, 100081, People's Republic of China. WHO China Representative Office, No. 23 Dongzhimenwai Street, Beijing 100600, People's Republic of China. Health Sciences Institute, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning Province, People's Republic of China.

The Lancet regional health. Western Pacific. 2024;:100938
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Abstract

The WHO Western Pacific region bears disproportionate deaths from non-communicable diseases (NCDs), with increased overall NCD proportional mortality over the past two decades. The disease burden of mental health increased, resulting from rapid ageing, enhanced stress, and the COVID-19 pandemic, but it was largely neglected. The highly diverse cultures, religions, political systems, socioeconomic contexts, lifestyles, and environmental factors probably have led to massive disparities across countries in NCD mortality, risk factors, and NCD management. Geographically, East Asia had the lowest NCD mortality whilst Pacific islands had the highest. Economic booms, ageing, nutrition transition, social stress, prevalent tobacco use, and fast-increasing obesity and hyperglycaemia are important drivers of NCDs. Men tended to have more adverse behavioural and metabolic risk factors. Rural residents are catching up with their urban counterparts in metabolic risk factors and conditions. Sustainable strategies tailored to NCD patterns are needed to fight the NCD epidemic and related disparities.

Methodological quality

Publication Type : Review

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